Provider Demographics
NPI:1942364815
Name:SCHLESSELMAN, LAUREN SANTOSTEFANO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:SANTOSTEFANO
Last Name:SCHLESSELMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 S EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:NIANTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06357-2030
Mailing Address - Country:US
Mailing Address - Phone:860-691-2156
Mailing Address - Fax:
Practice Address - Street 1:69 N EAGLEVILLE RD # U-3092
Practice Address - Street 2:UCONN SCHOOL OF PHARMACY
Practice Address - City:STORRS MANSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06269-9011
Practice Address - Country:US
Practice Address - Phone:860-486-6026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT08211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist